Individual
MADISON TAYLOR O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7926 TURQUOISE DR, CHARLOTTE, NC 28215-9460
(704) 816-9982
Mailing address
7926 TURQUOISE DR, CHARLOTTE, NC 28215-9460
(704) 816-9982
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15313
NC
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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